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| Child Clinical Applications of Behavior Analysis |
| Sunday, May 29, 2005 |
| 10:30 AM–11:50 AM |
| Williford A (3rd floor) |
| Area: CBM; Domain: Service Delivery |
| Chair: Teresa A. Rodgers (Florida Department of Children & Families) |
| CE Instructor: Jeannie A. Golden, Ph.D. |
| Abstract: Children and adolescents can be treated effectively using functional behavioral assessment and behavioral interventions for social, emotional and medical difficulties in a variety of settings. These settings include: a hospital treating children for chronic or terminal illnesses, a permanent residence with a loving family, a group home specifically designed to treat adolescents with multiple diagnoses, and a regular public school. The speakers in this symposium will present research-based approaches from the behavioral literature, as well as techniques they have used in clinical case studies, that effectively deal with numerous social, emotional and medical difficulties in children. Diagnoses that have been given to the children in these case studies include: Cancer, Diabetes, Attention Deficit Hyperactivity Disorder, Oppositional Defiant Disorder, Conduct Disorder, Moderate Mental Retardation, Post-Traumatic Stress Disorder, Obsessive-Compulsive Disorder, Motor Stereotypy, Depression, Psychosis, Learning Disability, School Phobia with Panic Attacks and Social Anxiety Disorder. In each of the case studies discussed, these children either: were able to be receive necessary medical treatments that were previously refused, had one or more of their diagnostic labels removed or were able to be served in a typical setting after previously being removed due to their behavioral, social and emotional difficulties. |
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| Using Functional Behavioral Assessment to Identify Appropriate Treatment Strategies for Children in Hospital Settings |
| LYNN A. OLSON PAGE (Regent University) |
| Abstract: Children with chronic and acute medical conditions face a number of challenges, both medically and psychologically. Pediatric psychologists are often to assist with issues that arise during hospitalization. Concerns about patient functioning may revolve around the physical consequences of emotional or behavioral distress, emotional or behavioral symptoms resulting from the diagnosis, or psychological trauma (Kush & Campo, 1998). Often these difficulties require an individualized, problem-solving approach to address difficulties quickly. A functional behavioral assessment approach represents a feasible and effective means of addressing problems within the hospital setting, but there is a paucity of research documenting the use of functional behavioral assessment in the acute hospital setting. Three case examples are used to provide a model of functional behavioral assessment in the hospital setting to improve coping, increase exercise and physical activity, and decrease distress to a medical procedure. |
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| Using Applied Behavior Analysis to Provide Stability in a Foster and Adoptive Home for a Child with Multiple Diagnoses |
| JEANNIE A. GOLDEN (East Carolina University) |
| Abstract: A five-and-a-half-year-old girl with diagnoses of ADHD, Depression & Psychoses was placed in foster care after having been removed from her biological home due to abuse and neglect, two other foster homes and several day care settings. The foster mother was a behavioral psychologist who used several behavioral interventions including: positive reinforcement, tokens, role-playing, feedback, coordinating of all adult caregivers, and consistent follow-through. The child was taken off of all medications within three weeks, was adopted two-and-a-half years later, and is currently eleven-and-a-half, in a regular six-grade class and has no diagnoses. There are some, however, behavior problems that the child and her parents are currently dealing with that require continued use of behavioral techniques. |
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| Using Applied Behavior Analysis to Treat School Phobia with Panic Attacks & Social Anxiety Disorder |
| JEANNIE A. GOLDEN (East Carolina University), Adam A. Spencer (East Carolina University) |
| Abstract: A twelve-year-old boy who appeared to have been the victim of a traumatic event developed school phobia and was being home-schooled one hour a week due to his school avoidance. When attempting to return to school, he was told by the principal to return for a full day or he would be expelled from school. Working with another school principal who was willing to try a more gradual approach, the behavioral consultant was able to use systematic desensitization, shaping, token reinforcement, role playing, and feedback to return the child to full days at school. Comparison of several treatments from the research literature will be discussed, as well as the use of functional behavioral assessment to understand school avoidance. |
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| Using a Variety of Behavioral Treatments to Reduce Inappropriate Social Behavior in an Adolescent Girl with Multiple Diagnoses |
| JEANNIE A. GOLDEN (East Carolina University), Jennifer Maness (East Carolina University) |
| Abstract: The present study investigated the effectiveness of using role-play, contracts, and progressive muscle relaxation training to decrease inappropriate social behaviors in a 15-year-old female with Moderate Mental Retardation, Post-Traumatic Stress Disorder, Obsessive-Compulsive Disorder, and Motor Stereotypy. The intervention was implemented in the adolescent’s group home facility. A changing conditions design with reversals was used to compare the effectiveness of multiple components on the percentage of one-hour intervals in which aggression, self-injury, throwing materials, disruptive running and screaming, and cursing and name-calling. Results indicate that the contract component of the intervention was more effective in decreasing the targeted inappropriate behaviors. During the final two treatment conditions (role-play + contract condition and role-play + relaxation training condition), the mean level of inappropriate behaviors decreased to 0% of intervals for all targeted inappropriate behaviors. |
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